| NPI | 1659788545 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME144430)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN20553)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-13 | 
| Last Update Date | 2020-06-29 |